| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $637.00 | $852.85 | $8,229.00 | |
Anthem BCBS
| Facility | $1,643.00 | $3,498.00 | $8,517.00 | |
CareSource
| Facility | $854.56 | $1,154.08 | $1,331.31 | |
Cigna
| Facility | $1,013.29 | $1,013.29 | $1,054.04 | |
United
| Facility | $599.00 | $3,086.00 | $6,295.00 |